PRISCILLA RODRIGUEZ (NPI# 1750612768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750612768 |
| Entity Type | Individual |
| Full Name | PRISCILLA RODRIGUEZ |
| Credential | PA-C |
| Practice Address |
1 Jarrett White Road Neurosurgery Clinic Honolulu HI 96859-5000 |
| Practice Telephone | 8084331963 |
| Enumeration Date | 2010-01-15 |
| Last Update Date | 2010-01-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
004491 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205479524 | Priscilla Rodriguez | Licensed Vocational Nurse | 12069 Paul Klee Dr, El Paso, TX 79936-0210 | 2019-10-18 |
| 1740756782 | Priscilla Marie Rodriguez | Social Worker | 3742 Tibbets St Suite 201, Riverside, CA 92506 | 2018-10-17 |
| 1528677473 | Priscilla C Rodriguez | Case Manager/Care Coordinator | 3208 Rosemead Blvd Ste 200, El Monte, CA 91731-2830 | 2020-07-27 |
| 1871153734 | Priscilla Lujan Rodriguez | Nurse Practitioner | 1300 N Dutton Ave, Santa Rosa, CA 95401-7112 | 2019-06-13 |
| 1689154544 | Priscilla Rodriguez | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2018-08-20 |
| 1285127654 | Priscilla Lyzette Rodriguez | Marriage & Family Therapist | 7400 Blanco Rd Ste 250, San Antonio, TX 78216 | 2018-06-11 |
| 1992098057 | Priscilla Rodriguez | Social Worker | 780 American Legion Hwy, Roslindale, MA 02131-3908 | 2011-05-24 |
| 1811161193 | Priscilla Rodriguez | Physician Assistant | 3812 N 1st St, Fresno, CA 93726-4301 | 2008-04-17 |
| Street Address |
1 JARRETT WHITE ROAD NEUROSURGERY CLINIC |
| City | HONOLULU |
| State | HI |
| Zip Code | 96859-5000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053312249 | David Allen Lane | Family Medicine | 1 Jarrett White Road, Headquarters Unit, Tripler Army Medical Center, Honolulu, HI 96859-5000 | 2005-08-10 |
| 1811533136 | Lasheika Banks | Registered Nurse | 1 Jarrett White Road, Honolulu, ID 96707 | 2019-11-21 |
| 1154776870 | Franchesca Moreau Desriviere | Midwife | 1 Jarrett White Road, Honolulu, HI 96859 | 2016-05-01 |
| 1114279361 | Jason C Metz | Psychologist | 1 Jarrett White Road, Tripler Army Medical Center, Honolulu, HI 96859 | 2012-10-12 |
| 1932465291 | Linda C Ross | Psychologist | 1 Jarrett White Road, Honolulu, HI 96207 | 2012-04-11 |
| 1821360496 | Jessica M Harmon | Psychologist | 1 Jarrett White Road, Psychology, Tamc, Honolulu, HI 96814 | 2012-01-30 |
| 1497043376 | Stephanie C Fournier | Physical Therapist | 1 Jarrett White Road, Honolulu, HI 96859 | 2011-07-13 |
| 1407159189 | Amy Renee Beasley | Nurse Anesthetist, Certified Registered | 1 Jarrett White Road, Tripler Army Medical Center, Honolulu, HI 96859 | 2010-12-17 |
| 1154560076 | Tarita Hughes | Registered Nurse | 1 Jarrett White Road, Honolulu, HI 96859 | 2009-02-17 |
| 1548408354 | Benjaman Wunderlich | Dietitian, Registered | 1 Jarrett White Road, Honolulu, HI 96859-5000 | 2009-02-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770115792 | The Janz Corporation | Durable Medical Equipment & Medical Supplies | Tripler Medical Center, C-103, Honolulu, HI 96859 | 2020-02-07 |
| 1467726927 | Elton E Bacon | Orthotist | 1 Jarrett White Rd Dept of The Army, Attn: Orthopedic Brace Clinic (mchk-dso-a), Tripler Amc, HI 96859 | 2012-03-01 |
| 1063738813 | Defense Finance & Actg Service | Military Hospital | 691 Schofield Barracks, U.s Army Health Clinic Bldg, Wahiawa, HI 96859 | 2010-04-19 |
| 1972737153 | Kyong Su Min | Orthopaedic Surgery | 1 Jarrett White Rd Bldg 4f, Tripler Army Medical Center, HI 96859 | 2009-05-04 |
| 1558503854 | Mark Andrew Gerum | Social Worker | Tripler Army Medical Center, 1 Jarrett White Road, Intensive Outpatient Program (iop), Honolulu, HI 96859 | 2009-04-01 |
| 1578720926 | Travis Jaya Mason | Surgery | Tripler Army Medical Center 1 Jarrett White Road, Honolulu, HI 96859 | 2008-05-21 |
| 1467513168 | Joselyn Cabalo Funtanilla Ponce | Registered Nurse | 1 Jarrett White Rd Bldg 4, Tripler Amc, HI 96859 | 2006-12-13 |
| 1346280195 | Harkirtin Kaur Mciver | Pediatrics | Tripler Army Medical Center Mchk-pe, 1 Jarrett White Road, Honolulu, HI 96859 | 2006-06-08 |
| 1043297740 | Jacqueline Seger | Registered Nurse | Tamc 1 Jarrett-white Rd., 1 Jarrett-white Rd. / Mchk-dsc, Honolulu, HI 96859 | 2005-12-23 |
| 1982694683 | Peter Marlin | Psychiatry & Neurology | Tamc, 1 Jarriet White Road, Honolulu, HI 96859 | 2005-10-24 |
| Find all providers in zip 96859 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427693266 | Dylan S Everett | Physician Assistant | 888 S King St, Honolulu, HI 96813-3097 | 2019-11-15 |
| 1538711650 | Kamala Pham Mcnevin | Physician Assistant | 3288 Moanalua Rd, Honolulu, HI 96819-1469 | 2019-07-09 |
| 1356815906 | Lindsey M Shannon | Physician Assistant | 3288 Moanalua Rd, Honolulu, HI 96819-1469 | 2019-01-16 |
| 1952763013 | Alan Sunada | Physician Assistant | 3288 Moanalua Rd, Honolulu, HI 96819-1469 | 2016-03-28 |
| 1912236993 | Larry Robert Alfrey | Physician Assistant | 1301 Punchbowl St, Trauma Services, Kinau 403, Honolulu, HI 96813-2402 | 2009-12-21 |
| 1609958149 | Janine Katins Delacourt | Physician Assistant | 1380 Lusitana Street, Suite 1012, Honolulu, HI 96813-2461 | 2006-10-20 |
| 1700986254 | John Y Lee | Physician Assistant | 3288 Moanalua Rd, Module 3b, Honolulu, HI 96819-1469 | 2006-09-24 |
| 1740242783 | Lindsey Michael Dang | Physician Assistant | 1301 Punchbowl St, Surgical Services, Honolulu, HI 96813-2402 | 2006-04-05 |
| 1427018522 | Daniel Morris | Physician Assistant | 1301 Punchbowl St, Iolani 3, Honolulu, HI 96813-2402 | 2006-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659711323 | Edward Michael Lawlor | Physician Assistant | 45-552 Keneke Pl, Kaneohe, HI 96744-3420 | 2013-06-26 |
| 1588846125 | Heidi Sarkozy | Physician Assistant | 1830 Wells St Ste 103, Wailuku, HI 96793 | 2007-12-05 |
| 1598997322 | Gary D Edwards | Physician Assistant | 2180 Main St, Wailuku, HI 96793-1625 | 2009-08-12 |
| 1174749212 | Jameson John Pawlik | Physician Assistant | 41 E Lipoa St, Suite 21, Kihei, HI 96753-8148 | 2007-04-17 |
| 1922102474 | James Patrick Ferstel | Physician Assistant | 1 Jarrett White Road, Tripler Army Medical Center Attn - Mchk-qs, Tripler Amc, HI 96859-5001 | 2006-09-12 |
| 1023046372 | Simon Damian Hill | Physician Assistant | 2180 Main St, Wailuku, HI 96793-1625 | 2006-06-28 |
| 1629051925 | Nathaniel Kenneth Duff | Physician Assistant | 1 Jarrett White Rd, Tamc, HI 96859-5001 | 2005-11-21 |
| 1124019484 | Denis Shigeo Yamada | Physician Assistant | 1 Jarrett White Rd, Tamc, HI 96859-5001 | 2005-11-03 |
Please comment or provide details below to improve the information on PRISCILLA RODRIGUEZ.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.